First rib fractures as an indicator of injury severity in major trauma

Introduction First rib fractures are traditionally considered indicators of increased morbidity and mortality in major trauma. However, this relationship has not been definitively proven. With an increase in computed tomography in major trauma, and the likely increase in detection of first rib fractures, this study re-evaluates whether first rib fractures are an indicator of injury severity. Discussion This study suggests that major trauma patients with first rib fractures have increased ISS and a higher likelihood of poly-trauma. Patients with multiple injuries and first rib fractures also have a higher mortality.